I had a facelift about five years ago. I have been left with pixie ears. Any suggestions?

Dr. Dean Kane Q & A Q. I had a facelift about five years ago. I have been left with pixie ears. I recently saw another plastic surgeon about this. He told me it is a simple procedure to fix and is done in the office. He said I should go back to the Plastic Surgeon who should fix this at no charge to me. Do you agree? A. Many patients are born with a “pixie” appearing earlobe attachment to the cheek. Others have a hanging earlobe with the attachment higher on the cheek. With aging and skin laxity the cheek skin may pull down the point of attachment of a hanging earlobe and appear pixie-like. ​ ​When considering a facelift, earlobe size and attachment may be modified easily at that time. A small, perky hanging earlobe is considered more youthful and currently requested by many patients. ​ You may desire this appearance before, during or after facelift is performed. Discuss this with your original or your second opinion facelift surgeon. ​ ​In my practice, no professional fee is requested for revisional surgery within 1 year of the original procedure. There are other costs involved including the procedure room and instruments, staffing and anesthesia if required. If the original procedure did not include a modification of your earlobes and / or it is over a year since the procedure, it is customary to charge a proper fee for additional surgery. ​ ​All practices are different. So, discuss fee with your original surgeon as well. ​ ​I hope this is helpful. All the best!   This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.
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